| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.25 | $231.25 | $266.83 | |
Cigna
| Facility | $243.89 | $243.89 | $348.29 | |
Cigna
| Professional | $178.04 | $178.04 | $221.49 | |
MVP Health Care
| Facility | $243.89 | $243.89 | $348.29 | |
MVP Health Care
| Professional | $178.04 | $178.04 | $221.49 | |
United
| Professional | $157.61 | $280.70 | $547.82 |